Objetivo: Refletir sobre o ritual do luto e o culto ao morto durante o funeral no contexto da pandemia da COVID-19. Método: Trata-se de estudo de reflexão sobre o processo de luto no contexto da pandemia de COVID-19. Resultados: A pandemia da COVID-19 afetou diretamente o processo de luto, a cultura e os rituais envolvidos nos funerais, limitando ou impedindo a despedida e os rituais comumente adotados, os quais podem ocasionar sentimentos negativos e potencializar a dor e o sofrimento durante a pandemia, interferindo na saúde mental dos sujeitos enlutados. Conclusão: Destaca-se a importância de estratégias de cuidado com as famílias enlutadas, conforme a necessidade singular de cada um, sobretudo, quanto às demandas psicológicas.Descritores: Luto; Saúde Mental; Pandemia; Infecções por Coronavírus; COVID-19. “That goodbye, can't give”: murder and suffering in COVID-19 timesObjective: Reflect on the ritual of mourning and cult of dead during funeral in the context of COVID-19 pandemic. Method: This is a study of reflection on the grieving process in the context of COVID-19 pandemic. Results: The COVID-19 pandemic directly affected the grieving process, culture and rituals involved in funerals, limiting or preventing farewell and commonly adopted rituals, which can cause negative feelings and potentiate pain and suffering during pandemic, interfering in mental health of the bereaved subjects. Conclusion: The importance of care strategies with bereaved families is highlighted, according to unique need of each one, especially regarding psychological demands.Descriptors: Mourning; Mental health; Pandemic; Coronavirus infections; COVID-19. "Ese adiós, no da": lucha y sufrimiento en los veces de COVID-19Objetivo: Reflexionar sobre el ritual del duelo y culto a los muertos durante el funeral en contexto de la pandemia de COVID-19. Método: Estudio de reflexión sobre el proceso de duelo en contexto de la pandemia de COVID-19. Resultados: La pandemia de COVID-19 afectó directamente el proceso de duelo, la cultura y los rituales involucrados en los funerales, limitando o previniendo los rituales de despedida y adoptados comúnmente, que pueden causar sentimientos negativos y potenciar el dolor y el sufrimiento durante pandemia, que interfiere en la salud mental de los sujetos desconsolados. Conclusión: Se destaca la importancia de estrategias de atención con las familias desconsoladas, de acuerdo con la necesidad singular de cada uno, especialmente en lo que respecta a las demandas psicológicas.Descriptores: Duelo; Salud mental; Pandemia; Infecciones por coronavirus; COVID-19.
Objective: to analyze the therapeutic project of crack and alcohol users attended at a psychosocial care center for alcoholand other drugs. Methods: documentary study that analyzed 567 medical records, in which 291 brought crack as the maincomplaint of biopsychosocial damages for users and 276 for alcohol. Results: the activities of reception, waiting room andhome visit stood out in users’ therapeutic projects as well as in nursing and medical consultations. In most of the medicalrecords one found pharmacological treatment by users and that complementary laboratory exams had not been requested.Conclusion: it is relevant to know the characteristics of the therapeutic project for the improvement of treatment strategies.
Originais / OriginalsConhecimento e práticas dos agentes comunitários de saúde sobre hanseníase em um município hiperendêmico Knowledge and practices of community health agents on leprosy in a hyperendemic municipality AbstractObjective: To describe the knowledge of community health agents (CHAs) about leprosy, its practices in the attention to the cases of its microarea and to identify the types of qualifications received about the disease. Materials and Methods: Exploratory-descriptive study, under qualitative and quantitative approach. The subjects of the study were the CHAs who work in three territories of the Family Health Strategy (FHS) in the municipality of Sobral, Ceará, with the highest number of registered leprosy cases. The information was obtained through a questionnaire
We aimed to analyze suicide risk in psychoactive substances users through the presence of comorbidities. This is an exploratory-descriptive research with quantitative approach developed in a municipality of the 11th Health Regional of Ceará State. Instruments used for data collection were formulary for sociodemographic characterization, clinical aspects, and pattern of consumption; Patient Health Questionnaire (PHQ-9), and Suicide Risk Index (SRI). Results point out that most users 51,1% presents the F19 diagnosis, mental and behavioral disorders due to use of multiple psychoactive substances. In 24,4% was detected psychiatric comorbidities, and in 33,3% were identified clinical comorbidities. 55,6% of users presented depression episodes. As for the suicide risk index, 55,6% presented intermediate risk, and 20% high risk. The findings reinforce the importance of investigating psychiatric comorbidities presence in users of psychoactive substances, and its relationship with suicide risks. Such an evaluation will contribute to more effective interventions in the health care process.
Têm se como objetivo identificar, a partir do processo de trabalho de gestores, as estratégias de organização e gestão do cuidado às condições crônicas Hipertensão Arterial Sistêmica e Diabetes Mellius na Atenção Primária à Saúde. Trata-se de um estudo qualitativo descritivo, de um recorte de uma pesquisa avaliativa. A coleta de dados se deu a partir de entrevistas semiestruturadas realizadas com gestores da saúde e fontes documentes, no município de Sobral–CE, no ano de 2017. Os discursos foram analisados por com suporte do software NVivo11. A partir então, identificou-se que no que se refere a atenção as condições crônicas, foram desenvolvidas estratégias de organização e gestão do cuidado, tais como a instituição de Protocolos, a Estratificação de Risco e o desenvolvimento de processos de Educação Permanente dos trabalhadores. Enfatiza-se a necessidade da modificação de uma atenção prescritiva e centrada na doença para a colaborativa e com foco na pessoa. Em que o cuidado é realizado com base no modo cooperativo, conforme as necessidades dos usuários, com o compartilhamento de responsabilidades, o apoio a autonomia e a decisão compartilhada
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